NPI 1720142359

Kristiarsi Rudito, MD

Practitioner Allergy & Immunology Physician Riverside, CA

Practice location

Address: 10800 Magnolia Ave, Riverside, CA 92505-3043
Phone: (951) 353-5569
Mailing address: 11711 Collett Ave, Riverside, CA 92505-3766

Registered specialties

Allergy & Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence A75290 (CA)

Other Allergy & Immunology providers in California →

Registry record

NPI: 1720142359
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Dec 2006
Record last updated: 16 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.